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Rejeb O, Pilet C, Hamana S, Xie X, Durand T, Aloui S, Doly A, Biron P, Perrier L, Augusto V. Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation. Health Care Manag Sci 2017; 21:204-223. [PMID: 28516345 DOI: 10.1007/s10729-017-9402-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 05/01/2017] [Indexed: 11/25/2022]
Abstract
Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. The purpose of this paper is to provide a methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose an integrated performance evaluation of HIS approach through the combination of formal modeling using the Architecture of Integrated Information Systems (ARIS) models, a micro-costing approach for cost evaluation, and a Discrete-Event Simulation (DES) approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rate of oncologists are lower and quality of service is higher (through the number of available information accessed during the consultation to formulate the diagnostic). The provided method allows also to determine the most cost-effective ICT elements to improve the care process quality while minimizing costs. The methodology is flexible enough to be applied to other health-care systems.
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Affiliation(s)
- Olfa Rejeb
- UMR CNRS 6158 LIMOS, MINES Saint-Étienne, 158 cours Fauriel, 42023, Saint-Étienne, cedex 2, France
| | - Claire Pilet
- UMR CNRS 6158 LIMOS, MINES Saint-Étienne, 158 cours Fauriel, 42023, Saint-Étienne, cedex 2, France
| | - Sabri Hamana
- UMR CNRS 6158 LIMOS, MINES Saint-Étienne, 158 cours Fauriel, 42023, Saint-Étienne, cedex 2, France
| | - Xiaolan Xie
- UMR CNRS 6158 LIMOS, MINES Saint-Étienne, 158 cours Fauriel, 42023, Saint-Étienne, cedex 2, France
- Shanghai Jiao Tong University, 800 Dong Chuan Road, Shanghai, China
| | - Thierry Durand
- Direction du système d'information, Centre Léon Berard, 28 Promenade Léa et Napoléon Bullukian, 69008, Lyon, France
| | - Saber Aloui
- Centre Hospitalier de Sens, 1 Avenue Pierre de Coubertin, 89100, Sens, France
| | - Anne Doly
- Centre Jean Perrin, 58 Rue Montalembert, 63000, Clermont-Ferrand, France
| | - Pierre Biron
- Département de médecine, Centre Léon Berard, 28 Promenade Léa et Napoléon Bullukian, 69008, Lyon, France
| | - Lionel Perrier
- Direction de la recherche clinique et de l'innovation, Universit'e de Lyon, Centre Léon Bérard, GATE L-SE UMR 5824, 28 Promenade Léa et Napoléon Bullukian, 69008, Lyon, France
| | - Vincent Augusto
- UMR CNRS 6158 LIMOS, MINES Saint-Étienne, 158 cours Fauriel, 42023, Saint-Étienne, cedex 2, France.
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